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Z76.2 ICD-10-CM Code: Encounter for health supervision and care of other healthy infant and child

Billing Status: YES. This is a valid, specific, and billable ICD-10-CM reference.

Coding at a Glance

Tabular directives
4 inclusion terms

Inpatient Payment Groups (MS-DRG)

Potential MS-DRG participation — not a DRG assignment.

MS-DRGs this diagnosis helps define, as principal or secondary, per the CMS ICD-10-CM/PCS MS-DRG Definitions Manual v43, Appendix B.

  • MS-DRG 795 — NORMAL NEWBORN (MDC 15)
  • MS-DRG 951 — OTHER FACTORS INFLUENCING HEALTH STATUS (MDC 23)

A diagnosis appearing in a group's logic does not by itself determine the DRG assigned to a stay; the grouper uses the full claim.

Coding instructions

Official Tabular Instructional Notes: the inclusion, exclusion and sequencing notes published for Z76.2 in the official ICD-10-CM tabular list, quoted as published.

Inclusion Terms

Alternative terms the tabular list files under this code.

  • Encounter for medical or nursing care or supervision of healthy infant under circumstances such as adverse socioeconomic conditions at home
  • Encounter for medical or nursing care or supervision of healthy infant under circumstances such as awaiting foster or adoptive placement
  • Encounter for medical or nursing care or supervision of healthy infant under circumstances such as maternal illness
  • Encounter for medical or nursing care or supervision of healthy infant under circumstances such as number of children at home preventing or interfering with normal care

Coder workflow for Z76.2

MedCoder structured workflow — derived from this code’s own official record

Before you code Z76.2

  1. Confirm the reason for the encounter this Z code records: the circumstance it records. Check whether the code may be reported as first-listed or principal — some Z codes are limited to one position — and do not report a history or status code for a condition documented as current. Z code categories and their reporting positions (Guidelines I.C.21.c, I.C.21.c.15).

    Guide: Z codes as principal or first-listed diagnosis →

Documentation check

The provider’s diagnostic statement
Codes are assigned from the provider’s documented diagnosis, not from clinical criteria, test values or a medication list (Guidelines I.A.19).
The reason for the encounter
Whether the code records the encounter’s purpose, a status, or a history — and whether it may be first-listed (Guidelines I.C.21.c).

Every row is derived from this code’s own record — its title, tabular notes, 7th-character family and same-category siblings — with fixed MedCoder wording; nothing is inferred about a patient. The official notes and guideline text are in the sections each row links to, and they control.

Code Overview

Encounter for health supervision and care of other healthy infant and child is a billable ICD-10-CM diagnosis code (Z76.2).

MedCoder summary Summary composed by MedCoder from this code's official ICD-10-CM record. The tabular instructional notes themselves appear verbatim below.

Indexed Clinical Terms (6)

Official source data — entries quoted as published, in the Index’s own lookup phrasing

Clinical term phrases from the official ICD-10-CM Index to Diseases and Injuries that map to this code. These are alphabetic-index entries shown as the Index writes them — lookup phrasing, not necessarily the wording of a final diagnosis.

Official Coding Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Official source data — quoted verbatim from the CMS/NCHS Official Guidelines

Verbatim excerpts from the ICD-10-CM Official Guidelines for Coding and Reporting (CMS/NCHS) that govern this code.

Chapter 21: Factors influencing health status and contact with health services (Z00-Z99)

Z31.81 Encounter for male factor infertility in female patient Z31.83 Encounter for assisted reproductive fertility procedure cycle Z31.84 Encounter for fertility preservation procedure Z34 Encounter for supervision of normal pregnancy Z39 Encounter for maternal postpartum care and examination Z38 Liveborn infants according to place of birth and type of delivery Z40 Encounter for prophylactic surgery Z42 Encounter for plastic and reconstructive surgery following medical procedure or healed injury Z51.0 Encounter for antineoplastic radiation therapy Z51.1- Encounter for antineoplastic chemotherapy and immunotherapy Z52 Donors of organs and tissues Except: Z52.9, Donor of unspecified organ or tissue Z76.1 Encounter for health supervision and care of foundling Z76.2 Encounter for health supervision and care of other healthy infant and child Z99.12 Encounter for respirator [ventilator] dependence during power failure

Verify Before Coding

  • Principal-diagnosis restriction. The Medicare Code Editor lists this code as unacceptable as a principal diagnosis: it describes a circumstance influencing health status rather than a current illness or injury being treated. It is valid as a secondary diagnosis.
  • Age-restricted: the Medicare Code Editor lists this as a pediatric (age 0-17) diagnosis; other ages are presumed incorrect.

From the code registry, the Medicare Code Editor, and the MS-DRG Definitions Manual. Check it against a full claim in Claim Check.

Relationships & Classification

MedCoder structured relationships — computed from published CMS and AHRQ datasets

Other codes that name Z76.2 or its code family, from the CMS ICD-10-CM tabular instructional notes. Tabular-note edges are stored at the code family level that carries each note.

Referenced by 2 Excludes1 notes: Z00.12 — Encounter for routine child health examination, Z02.89 — Encounter for other administrative examinations.

These codes’ tabular lists mark this diagnosis as mutually exclusive — not reported together unless the conditions are documented as unrelated.

MS-DRG Grouper Relationships (FY2026)

Potential MS-DRG participation — not a DRG assignment.

Not on the CMS CC/MCC list — as a secondary diagnosis this code does not change MS-DRG severity.

Named in the grouper logic of 2 MS-DRGs: DRG 795 (MDC 15), DRG 951 (MDC 23).

From the CMS MS-DRG Definitions Manual (Appendices B and C). Actual DRG assignment depends on the complete claim.

Clinical classification (AHRQ CCSR):FAC012 — Other specified encounters and counseling (default).

Clinical Classifications Software Refined (CCSR) for ICD-10-CM Diagnoses. Healthcare Cost and Utilization Project (HCUP), Agency for Healthcare Research and Quality.

Related Codes

Principal diagnosis restriction (Medicare Code Editor)

Not acceptable as a principal diagnosis on an inpatient claim.

Same clinical category (CCSR)

AHRQ's Clinical Classifications Software groups these diagnoses under the same clinical category (Other specified encounters and counseling).

Z71.3 — Dietary counseling and surveillance, Z71.41 — Alcohol abuse counseling and surveillance of alcoholic, Z71.42 — Counseling for family member of alcoholic, Z71.51 — Drug abuse counseling and surveillance of drug abuser, Z71.52 — Counseling for family member of drug abuser, Z71.6 — Tobacco abuse counseling, Z71.7 — Human immunodeficiency virus [HIV] counseling, Z71.81 — Spiritual or religious counseling, Z71.82 — Exercise counseling, Z71.83 — Encounter for nonprocreative genetic counseling, Z71.84 — Encounter for health counseling related to travel, Z71.85 — Encounter for immunization safety counseling, Z71.87 — Encounter for pediatric-to-adult transition counseling, Z71.88 — Encounter for counseling for socioeconomic factors, Z71.89 — Other specified counseling, Z71.9 — Counseling, unspecified, Z76.0 — Encounter for issue of repeat prescription, Z76.1 — Encounter for health supervision and care of foundling, Z76.89 — Persons encountering health services in other specified circumstances, Z99.12 — Encounter for respirator [ventilator] dependence during power failure, +3 more

Same Index main term, other category

The ICD-10-CM Index to Diseases and Injuries files this code under the main terms “Care”, “High”, “Supervision”; these codes share that main term but sit in a different category of the Tabular List.

Q79.1 — Other congenital malformations of diaphragm (diaphragm), R03.0 — Elevated blood-pressure reading, without diagnosis of hypertension (blood pressure, borderline), R50.9 — Fever, unspecified (temperature), R94.8 — Abnormal results of function studies of other organs and systems (basal metabolic rate), T70.0 — Otitic barotrauma (altitude effects, on, ears), T70.1 — Sinus barotrauma (altitude effects, on, sinuses), T70.20 — Unspecified effects of high altitude (altitude effects), T70.29 — Other effects of high altitude (altitude effects, anoxia), Z39.0 — Encounter for care and examination of mother immediately after delivery (postpartum, immediately after delivery), Z39.1 — Encounter for care and examination of lactating mother (lactation), Z39.2 — Encounter for routine postpartum follow-up (postpartum, routine follow-up), Z51.5 — Encounter for palliative care (hospice), Z63.6 — Dependent relative needing care at home (family member, creating problem for family), Z63.8 — Other specified problems related to primary support group (expressed emotional level within family), Z71.3 — Dietary counseling and surveillance (dietary), Z72.51 — High risk heterosexual behavior (risk, sexual behavior), Z72.52 — High risk homosexual behavior (risk, sexual behavior, homosexual), Z72.53 — High risk bisexual behavior (risk, sexual behavior, bisexual), Z74.2 — Need for assistance at home and no other household member able to render care (family member, unavailable, due to, absence), Z75.5 — Holiday relief care (respite), +10 more

Contextual Map

Every relationship of Z76.2 in one view: hierarchy, official tabular instructions in both directions, clinical classification, risk adjustment, MS-DRG participation, index terms and change history — each edge carrying the CMS source it derives from.

Run Z76.2 with these 2 related codes in Claim Check

Hierarchy

Referenced by Excludes1 notes

Clinical classification (CCSR)

MS-DRG Grouper

MDC crossing

Index entries

  • Boarder, hospital NEC, healthy infant or child[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Care (of) (for) (following), child (routine)[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Care (of) (for) (following), well-baby[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Healthy, infant, receiving care[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • High, risk, infant NEC[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026
  • Supervision (of), healthy infant or child[Index term]— CMS ICD-10-CM Index to Diseases and Injuries · icd10cm-fy2026

Nearest codes (10)

Change history

  • FY2016 — In the code set at ICD-10-CM adoption [Change history]— CMS release files (code change ledger) · icd10cm-fy2016

Sources for this page

Codes, titles, notes, index terms and mappings on this page are transcribed from the datasets below. Relationships MedCoder computed and text MedCoder wrote are labelled where they appear.

Code, title, tabular notes and index terms Official source data
CMS/CDC ICD-10-CM FY2026 tabular list, index and tables, effective October 1, 2025 Release, file and checksum · Publisher’s page
Coding guidelines Official source data
ICD-10-CM Official Guidelines for Coding and Reporting (FY2026), quoted by section Release, file and checksum · Publisher’s page
Claim edits Official source data
CMS Definitions of Medicare Code Edits — v43.1 (April 2026) Release, file and checksum · Publisher’s page
Inpatient payment groups Official source data
CMS MS-DRG Definitions Manual (incl. Appendix B diagnosis index, Appendix C CC/MCC list, Appendix E procedure index) and IPPS Final Rule tables — v43 Release, file and checksum · Publisher’s page
Change history and date-of-service validity Official source data
CMS ICD-10-CM release addenda, ingested release by release into the change ledger Release, file and checksum · Publisher’s page
Comparisons, relationships and the contextual map MedCoder structured relationship
Computed by MedCoder from the tabular notes and tables above; every derived relationship is marked as derived where it appears
Summary and FAQ answers MedCoder explanation
Written by MedCoder to explain the sources above: drafted with AI assistance, checked by a person against the release files, and labelled as MedCoder text where it appears. Not official text.

Labels on this page: Official source data · MedCoder structured relationship · MedCoder explanation. How to read the labels · All data sources and release dates

Change history

  • FY2016 — October 1, 2015
    In the code set at ICD-10-CM adoption
    Encounter for health supervision and care of other healthy infant and child

No changes since FY2016 — additions, deletions, description changes and billable-status changes are tracked through FY2027 (effective October 1, 2026), and none are recorded for this code. Note changes are tracked from FY2027 only.

Nearest Codes in This Family

Official ICD-10-CM classifications closest to Z76.2 in its code family, with their registry titles.

View all codes in the Z76 family